Peculiar presentation in the mesenteric vascular territory with presentation of sixteen cases

ABSTRACT

This study was intended to discuss an experience of the authors in stressing the value of considering the vessels of gut [arteries, vein and lymphatics] as an important reason for abdominal troubles. Presentation could vary from post-prandial symptoms, to a mass that enlarges after meals, to almost any gastro-intestinal troubles up to abdominal apoplexy [spontaneous rupture of anerysm especially in pregnancy]. According 1- Embolectomy should be prepared for in any major acute abdominal operation. 2- Spontaneous segmental venous thrombosis is described and the possible relation to stress and smoking and contraceptive pills is suggested. 3- The importance of exploring measenteric haematoma is forwarded to save lives. 4- A case of lymphangioma of cavernous nature increasing in size after meals is described. 5- A case of lymphatic adenomatous colonic polyp is described with its peculiar serous exudates, missed as urine for over 18 months. 6- The value of post-operative anticoagulant therapy in acute abdomen especially with suspicious gut or after resection in the elderly or in those with doubtful vessels. 7- The value of a clinic haematholoist as a member of the surgical team in view of the concern with the correction of coagulation errors met with in practice